Evidence map›Paper›PMID 41803188›Full record

Trial reportScientific reports2026

Effectiveness of exercise prehabilitation before anterior cruciate ligament reconstruction on functional outcomes - a single-blinded randomized controlled trial.

Rebecca Abel, Daniel Niederer, Alexander Glowa, Niklas Hansen, Christiane Wilke, Christoph Offerhaus

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07627724 (Preoperative Prehabilitation as a Predictor of Improved Functional Outcomes After Anterior Cruciate Ligament Reconstruction), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07627724 nacompletednot on this map

Preoperative Prehabilitation as a Predictor of Improved Functional Outcomes After Anterior Cruciate Ligament Reconstruction

TypeinterventionalSponsorBeni-Suef UniversityRan2025 to 2026Enrolled76ConditionsAnterior Cruciate Ligament Injury, Knee JointArmsPreoperative Prehabilitation Program, Standard Preoperative Care
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rebecca AbelInstitute of Movement Therapy and movement-oriented Prevention and Rehabilitation, Abt. 1., German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany. r.abel@dshs-koeln.de.
Daniel NiedererInstitute of Occupational, Social and Environmental Medicine, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Alexander GlowaPhysioSport PACE GmbH, Schanzenstraße 33, 51063, Cologne, Germany.
Niklas HansenInstitute of Movement Therapy and movement-oriented Prevention and Rehabilitation, Abt. 1., German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany.
Christiane Wilke *Institute of Movement Therapy and movement-oriented Prevention and Rehabilitation, Abt. 1., German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany.
Christoph Offerhaus *Department of Orthopedic Surgery and Sports Traumatology, Sana Medical Centre Cologne, Aachener Str. 445-449, 50933, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare the effectiveness of an individually tailored, adaptive, guided, structured and criteria-based preoperative rehabilitation program (IG) to a structured, non-guided, self-administered home training program (CG) in individuals after an anterior cruciate ligament (ACL) rupture. Methods: We enrolled participants 16 to 60 years with a unilateral ACL rupture, scheduled for reconstruction using a hamstring or quadriceps tendon autograft. They were assessor-blinded 1:1 block-randomized to the IG or the CG. Self-reported knee function, assessed using the Knee injury and Osteoarthritis Outcome Score (KOOS), was the primary outcome. Secondary outcomes included functional measures (range of motion, muscle strength, functional limb asymmetries, and hopping ability) as well as self-reported psychological readiness to return to sport. Parameters were assessed at up to seven time points: anamnesis in the hospital, 1 to 7 days before the surgery, on the day of surgery, 30, 60, 90, and 180 days post-surgery. Intention-to-treat based linear mixed models were calculated using the change scores since anamnesis. Results: Of 114 enrolled participants (mean age = 31.03, SD = 10.30 years; 53% females), 58 participants discontinued intervention or dropped out. The IG (KOOS score anamnesis: 46.04, 95% confidence interval = [45.07 to 47.02]; pre-reconstruction: 58.52, [57.51 to 59.54]) demonstrated a more pronounced preoperative improvement in the KOOS score compared to the CG (51.01, [50.10 to 51.92]; 59.18, [58.40 to 59.96]). The interaction (group*time) of the KOOS sum score differed for the change score to the surgery day (p = 0.039) and to 60 days postoperative (p = 0.039). Conclusion: The individually tailored preoperative rehabilitation program may improve perceived knee function more than self-guided training. Caution and future research are needed as the effects were small.Trial registration: German Register of Clinical Trials, DRKSID: DRKS00030312, Date of registration in DRKS 26.09.2022.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionExercise TherapyPreoperative ExerciseAdolescentAdultFemaleHumansMaleMiddle AgedRange of Motion, ArticularRecovery of FunctionSingle-Blind MethodTreatment OutcomeYoung AdultACLguidedinterventionkneeprehabilitationpreoperative trainingRCTself-administeredtraining

Identifiers

PMID41803188
PMCPMC12987922

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.